| NPI | 1477853877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K MULLNIX Senior Healthcare Analyst 707-824-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6452) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |